CN105833064A - 用于治疗糖尿病视网膜病变的明目汤剂 - Google Patents
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Abstract
本发明公开了一种用于治疗糖尿病视网膜病变的明目汤剂,它是由以下重量份数的中药原料制备而成:黄芪10~30份、党参10~20份、茯苓10~20份、丹参10~30份、葛根10~20份、知母5~15份、当归10~20份、白芍10~20份、泽泻10~20份、车前子10~30份、白茅根10~20份、侧柏叶5~15份、炙甘草5~10份、熟地10~20份、枸杞子10~20份、山药10~20份、菊花10~20份、密蒙花5~15份、茺蔚子5~15份、泽兰10~20份。诸药合用,具有益气活血利水补肾明目之功效,该汤剂能减少视网膜出血和渗出,并能促进其吸收,也可以促进视网膜光凝术后黄斑水肿的吸收。
Description
技术领域
本发明涉及中药技术领域,具体涉及一种用于治疗糖尿病视网膜病变的明目汤剂。
背景技术
糖尿病性视网膜病变(DR)是糖尿病严重并发症之一,是致盲性眼病中第2或第3的眼底病。研究表明,DR与糖尿病病程、血糖控制水平有明显正相关性。DR病变依据散瞳后眼底镜检查,可有微血管瘤、出血、硬性渗出、棉絮斑、视网膜水肿;视网膜新生血管、玻璃体积血及机化、牵拉性视网膜脱离等不同程度病变,临床症状表现有视物模糊、眼胀、眼前黑影、双眼复视及视野缺损等。临床分为六期,Ⅰ--Ⅲ期为单纯型,Ⅳ--Ⅵ期为增殖型。治疗方法:药物、激光光凝术及手术治疗,然而,这种治疗方式有依赖性且影响患者的精神情绪。
发明内容
针对上述技术问题,本发明提出了一种用于治疗糖尿病视网膜病变的明目汤剂,该汤剂能减少视网膜出血和渗出,并能促进其吸收,也可以促进视网膜光凝术后黄斑水肿的吸收。
本发明技术方案包括:
一种用于治疗糖尿病视网膜病变的明目汤剂,它是由以下重量份数的中药原料制备而成:
黄芪10~30份、党参10~20份、茯苓10~20份、丹参10~30份、葛根10~20份、知母5~15份、当归10~20份、白芍10~20份、泽泻10~20份、车前子10~30份、白茅根10~20份、侧柏叶5~15份、炙甘草5~10份、熟地10~20份、枸杞子10~20份、山药10~20份、菊花10~20份、密蒙花5~15份、茺蔚子5~15份、泽兰10~20份。
作为本发明的一个优选方案,上述中药原料的重量份配比为:黄芪20份、党参15份、茯苓15份、丹参20份、葛根15份、知母10份、当归15份、白芍15份、泽泻15份、车前子20份、白茅根15份、侧柏叶10份、炙甘草6份、熟地15份、枸杞子15份、山药15份、菊花12份、密蒙花10份、茺蔚子10份、泽兰15份。
上述明目汤剂采用下述步骤制备而成:
a按照上述重量配比分别称取黄芪、党参、茯苓、丹参、葛根、知母、当归、白芍、泽泻和车前子,合并后加水浸泡1小时,然后煎煮2小时,过滤,得滤液一与药渣一;
b按照上述重量配比分别称取白茅根、侧柏叶、炙甘草、熟地、枸杞子、山药、菊花、密蒙花、茺蔚子和泽兰,合并后加水浸泡3小时,然后煎煮2小时,过滤,得滤液二与药渣二;
c将药渣一与药渣二混合再加水煎煮1小时,过滤,得滤液三与药渣三;
d将滤液一、滤液二和滤液三合并、静置过滤后,即得明目汤剂。
本发明的药理及有益技术效果:
糖尿病性视网膜病变是糖尿病慢性并发症之一,严重影响人们的身心健康,给人们的日常生活带来不便。糖尿病归属于中医“消渴”范畴,将DR归属于“视瞻昏渺”及“暴盲”范畴。古代医家对本病早有认识,如《河间六书》中指出,消渴一证可“变为雀目与内障”。《秘传证治要诀及类方·三消》有:“三消久之,精血既亏,或目无见,或手足偏废如风疾非风,然此证消肾得之为多”之说,指出了三消中消肾多发展为消渴目病。本病病机是肝肾阴虚,肝胃燥热,阴亏燥热,耗气伤津灼液,血稠成瘀;阴津亏虚不能上荣于目,目失濡养,脉络瘀滞,血不循经,则溢于脉外,以致神光受遏。本病为本虚标实,眼底病变之微动脉瘤,出血是瘀血的表现;眼底之渗出及水肿为痰湿之证;视网膜新生血管和纤维血管增殖为痰瘀互结。
本发明方剂中的黄芪益气升清,补气生血,帅血以运行,益脾健气,燥湿化浊,以消眼底水肿,故为君药;党参、茯苓、炙甘草、山药健脾化湿;白芍、熟地、山药、枸杞子滋补肝肾;黄芪、山药可益气健脾,补肾降糖;黄芪、知母气阴双补,清热降火止烦渴;泽泻、车前子、白茅根、侧柏叶等以淡渗利湿凉血止血消肿;“一味丹参相当于四物汤”具有活血祛瘀止痛,凉血消痈,清心除烦,养血安神;葛根性寒凉于清热之中,又能鼓舞胃气上升,生津止渴;茺蔚子、泽兰活血利水;菊花、密蒙花、枸杞子以清肝明目。现代药理研究熟地黄中的地黄寡糖(ROS)具有较好的降糖作用,对主宰糖代谢的神经内分泌免疫调节网络功能的紊乱有良好的恢复调整作用;枸杞中的枸杞多糖对2型糖尿病早期出现的血管内皮损伤有良好的保护作用;泽泻的提取物如水提醇沉物(RAE)具有明显的降血糖作用,也可以抑制内皮细胞损伤;丹参的有效成分丹参素和丹参酮,具有抑制血小板合成和聚集,改善微循环障碍,保护内皮细胞的功能诸药合用,具有益气活血利水补肾明目,应用本方后使瘀血得化,痰结得消,目窍得养,见眼底出血、渗出等病变减少,视力升高,值得临床推广。
临床资料
1、病例选择
选取2010年6月—2015年10月在青岛市黄岛区中医院眼科门诊及病房、中医门诊的110例糖尿病视网膜病变Ⅰ--Ⅲ期患者,随机分成两个组治疗,其中对照组58例,治疗组52例;
2、临床主症:视物模糊、眼胀、眼前黑影、双眼复视及视野缺损等;
3、治疗方法:对照组常规用降糖药物、胰岛素、阿司匹林肠溶片、降脂药、羟本磺酸钙等;治疗组在对照组的基础上加用自拟益气活血利水补肾明目汤,日一剂分早、晚服,4周为一疗程;
4、注意事项:眼底有新鲜出血者慎用;
5、疗效判断标准:(以服用4周为一个疗程标准)
治愈:症状全部消失;
好转:症状基本消失或减轻;
无效:症状在治疗前后无变化。
6、临床疗效
表1
统计学方法以SPSS10.0统计软件进行了数据处理。数据以均值±标准差表示。两组间比较采用t检验,率的比较采用卡方检验。P<0.05为差异有统计学意义。
结果:益气养血活血利水汤治疗组与对照组相比,治疗组好转率高于对照组,有统计学差异(P<0.05),说明治疗组在对照组的基础上加用益气活血利水补肾明目汤治疗该类型的糖尿病性视网膜病变疗效显著,值得进一步临床推广。
7、典型病例
病例1:
患者朱某,女,65岁,患者患者因右眼视物模糊5天于2015年6月1日来诊;
主诉:伴略口干、乏力,腰膝酸软,舌暗红舌体胖大边有齿痕苔薄白,脉沉细,尺弱;查体:BP140/80mmHg神志清,精神可,双眼睑无浮肿,心肺未闻及异常,余(-)。既往糖尿病史、高血压病史10余年,平时服阿司匹林肠溶片、阿托伐他汀、瑞格列奈、代文等药,血糖、血压、血脂控制尚达标。专科检查:视力:右眼:4.1;左眼:4.8,眼前节安静;散瞳眼底检查:视盘界清,后极部视网膜见散在微血管瘤、数个点状出血灶及散在棉絮斑,波及黄斑区,黄斑中心光反射消失。给于西药羟本磺酸钙等治疗10天,病情好转不明显,要求中药汤剂治疗,根据以上的症状及舌脉等情况。
病机:肝肾阴虚,气津均伤,目失濡养,脉络瘀滞。
治则:补肝益气活血利水明目。方药:本发明明目汤,日一剂分早、晚服,周后视物模糊及肝肾阴虚,气津均伤,目失濡养,脉络瘀滞腰膝酸软、乏力减轻,继服上方1周,上述症状明显减轻,大便略干。
眼底检查示:视网膜出血部分吸收,棉絮斑消失,黄斑中心光弥散。上方加郁李仁15g,火麻仁15g,14剂后上述症状基本消失。眼底检查:后极部出血点大部分吸收,黄斑中心光可见。
病例2:
患者肖某,男,70岁,住院号20189;
症状:因口干7-8余年,伴左眼视物模糊、眼胀7天入院,10天前曾在我院眼科就诊,诊断为“双眼糖尿病性视网膜病变(三期)”,并行双眼局部视网膜激光光凝术治疗;15年前确诊为“2型糖尿病”,平时用阿司匹林肠溶片、血脂康、诺和灵30R等药,血糖控制不达标,伴动则汗出,纳呆,舌淡红少苔,脉沉细,尺弱。
查体:一般情况可,神志清,精神可,眼睑无红肿,球结膜无充血,心肺未闻及异常,余(-)。专科检查:视力:右眼:4.7,左眼:4.0;眼前节安静;散瞳查眼底:视盘界清,中周部视网膜见弥漫性排列均匀的激光斑,后极部网膜见数个圆点状暗红色出血点及黄白色点状硬性渗出,黄斑区水肿,中心光反射消失。
病机:肝肾阴虚,气津均伤,目失濡养,脉络瘀滞。
治则:补肝益气活血利水明目。在原来用药的基础上加服羟本磺酸钙等,同时用益气活血利水补肾明目汤,日一剂,分早、晚服,2周后复诊,口干、出汗及左眼视物模糊明显减轻,患者拒绝眼底检查,要求继续服用本方,服用2周后,视物模糊基本消失。
具体实施方式
实施例1:
称取黄芪10g、党参10g、茯苓10g、丹参10g、葛根10g、知母15g、当归20g、白芍20g、泽泻20g、车前子10g、白茅根10g、侧柏叶5g、炙甘草10g、熟地20g、枸杞子10g、山药20g、菊花10g、密蒙花15g、茺蔚子15g、泽兰10g。
本实施例汤剂的具体制备方法:
首先分别称取黄芪、党参、茯苓、丹参、葛根、知母、当归、白芍、泽泻和车前子,合并后加水浸泡1小时,然后煎煮2小时,过滤,得滤液一与药渣一;
然后称取白茅根、侧柏叶、炙甘草、熟地、枸杞子、山药、菊花、密蒙花、茺蔚子和泽兰,合并后加水浸泡3小时,然后煎煮2小时,过滤,得滤液二与药渣二;
将药渣一与药渣二混合再加水煎煮1小时,过滤,得滤液三与药渣三;
最后,将滤液一、滤液二和滤液三合并、静置过滤后,即得明目汤剂。
实施例2:
称取黄芪10g、党参10g、茯苓10g、丹参10g、葛根10g、知母15g、当归20g、白芍20g、泽泻20g、车前子10g、白茅根10g、侧柏叶5g、炙甘草10g、熟地20g、枸杞子10g、山药20g、菊花10g、密蒙花15g、茺蔚子15g、泽兰10g。
本实施例汤剂的具体制备方法:
首先分别称取黄芪、党参、茯苓、丹参、葛根、知母、当归、白芍、泽泻和车前子,合并后加水浸泡1小时,然后煎煮2小时,过滤,得滤液一与药渣一;
然后称取白茅根、侧柏叶、炙甘草、熟地、枸杞子、山药、菊花、密蒙花、茺蔚子和泽兰,合并后加水浸泡3小时,然后煎煮2小时,过滤,得滤液二与药渣二;
将药渣一与药渣二混合再加水煎煮1小时,过滤,得滤液三与药渣三;
将滤液一、滤液二和滤液三合并,向其中加入郁李仁15g、火麻仁15g,即得明目汤剂。
实施例3:
称取黄芪30g、党参10g、茯苓10g、丹参10g、葛根10g、知母5g、当归10g、白芍20g、泽泻20g、车前子10g、白茅根20g、侧柏叶15g、炙甘草10g、熟地20g、枸杞子20g、山药20g、菊花10g、密蒙花15g、茺蔚子5g、泽兰20g。
本实施例汤剂的具体制备方法:
首先分别称取黄芪、党参、茯苓、丹参、葛根、知母、当归、白芍、泽泻和车前子,合并后加水浸泡1小时,然后煎煮2小时,过滤,得滤液一与药渣一;
然后称取白茅根、侧柏叶、炙甘草、熟地、枸杞子、山药、菊花、密蒙花、茺蔚子和泽兰,合并后加水浸泡3小时,然后煎煮2小时,过滤,得滤液二与药渣二;
将药渣一与药渣二混合再加水煎煮1小时,过滤,得滤液三与药渣三;
最后,将滤液一、滤液二和滤液三合并、静置过滤后,即得明目汤剂。
实施例4:
称取黄芪20g、党参15g、茯苓15g、丹参20g、葛根15g、知母10g、当归15g、白芍15g、泽泻15g、车前子20g、白茅根15g、侧柏叶10g、炙甘草6g、熟地15g、枸杞子15g、山药15g、菊花12g、密蒙花10g、茺蔚子10g、泽兰15g。
本实施例汤剂的具体制备方法:
首先分别称取黄芪、党参、茯苓、丹参、葛根、知母、当归、白芍、泽泻和车前子,合并后加水浸泡1小时,然后煎煮2小时,过滤,得滤液一与药渣一;
然后称取白茅根、侧柏叶、炙甘草、熟地、枸杞子、山药、菊花、密蒙花、茺蔚子和泽兰,合并后加水浸泡3小时,然后煎煮2小时,过滤,得滤液二与药渣二;
将药渣一与药渣二混合再加水煎煮1小时,过滤,得滤液三与药渣三;
最后,将滤液一、滤液二和滤液三合并、静置过滤后,即得明目汤剂。
实施例5:
称取黄芪30g、党参20g、茯苓20g、丹参20g、葛根20g、知母15g、当归20g、白芍20g、泽泻10g、车前子30g、白茅根10g、侧柏叶5g、炙甘草10g、熟地20g、枸杞子10g、山药20g、菊花10g、密蒙花15g、茺蔚子15g、泽兰10g。
本实施例汤剂的具体制备方法:
首先分别称取黄芪、党参、茯苓、丹参、葛根、知母、当归、白芍、泽泻和车前子,合并后加水浸泡1小时,然后煎煮2小时,过滤,得滤液一与药渣一;
然后称取白茅根、侧柏叶、炙甘草、熟地、枸杞子、山药、菊花、密蒙花、茺蔚子和泽兰,合并后加水浸泡3小时,然后煎煮2小时,过滤,得滤液二与药渣二;
将药渣一与药渣二混合再加水煎煮1小时,过滤,得滤液三与药渣三;
最后,将滤液一、滤液二和滤液三合并、静置过滤后,即得明目汤剂。
Claims (3)
1.一种用于治疗糖尿病视网膜病变的明目汤剂,其特征在于它是由以下重量份数的中药原料制备而成:
黄芪10~30份、党参10~20份、茯苓10~20份、丹参10~30份、葛根10~20份、知母5~15份、当归10~20份、白芍10~20份、泽泻10~20份、车前子10~30份、白茅根10~20份、侧柏叶5~15份、炙甘草5~10份、熟地10~20份、枸杞子10~20份、山药10~20份、菊花10~20份、密蒙花5~15份、茺蔚子5~15份、泽兰10~20份。
2.根据权利要求1所述的用于治疗糖尿病视网膜病变的明目汤剂,其特征在于:所述中药原料的重量份配比为:
黄芪20份、党参15份、茯苓15份、丹参20份、葛根15份、知母10份、当归15份、白芍15份、泽泻15份、车前子20份、白茅根15份、侧柏叶10份、炙甘草6份、熟地15份、枸杞子15份、山药15份、菊花12份、密蒙花10份、茺蔚子10份、泽兰15份。
3.根据权利要求2所述的用于治疗糖尿病视网膜病变的明目汤剂,其特征在于,它采用下述步骤制备而成:
a按照上述重量配比分别称取黄芪、党参、茯苓、丹参、葛根、知母、当归、白芍、泽泻和车前子,合并后加水浸泡1小时,然后煎煮2小时,过滤,得滤液一与药渣一;
b按照上述重量配比分别称取白茅根、侧柏叶、炙甘草、熟地、枸杞子、山药、菊花、密蒙花、茺蔚子和泽兰,合并后加水浸泡3小时,然后煎煮2小时,过滤,得滤液二与药渣二;
c将药渣一与药渣二混合再加水煎煮1小时,过滤,得滤液三与药渣三;
d将滤液一、滤液二和滤液三合并、静置过滤后,即得明目汤剂。
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